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DANIEL S ROBERSON PA-C
NPI 1780044610
Physician Assistant - Surgical in Marietta, GA

Active since March 04, 2016PECOS EnrolledAccepts Medicare Assignment
1371 CHURCH STREET EXT NE STE 200, MARIETTA, GA 30060(678) 344-8900(678) 666-5201 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Daniel S Roberson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL S ROBERSON PA-C (NPI 1780044610) is an individual surgical provider in Marietta, Georgia, licensed in Georgia (7920) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780044610
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDANIEL S ROBERSONCredential: PA-C
Location Address1371 CHURCH STREET EXT NE STE 200Marietta, GA 30060-7913
Mailing Address1551 Janmar RdSnellville, GA 30078-5606 · (470) 579-5600 · Fax (229) 436-4107
Phone(678) 344-8900
Fax(678) 666-5201
Sole ProprietorNo
Enumeration DateMarch 4, 2016
Last NPPES UpdateMay 24, 2024
NPPES CertifiedMay 24, 2024
✔ NPI 1780044610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in GA · 7920
1371 CHURCH STREET EXT NE STE 200, Marietta, GA 30060
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniel S Roberson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547567521
PECOS Enrollment IDI20160318002117
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LACEY ANTE PA-C
Physician Assistant (Surgical)
1371 CHURCH STREET EXT NE STE 200
MARIETTA, GA 30060
Cobb County (678) 344-8900
SARA STEPHANO ADAMS PA-C
Physician Assistant (Surgical)
1371 CHURCH STREET EXT NE STE 200
MARIETTA, GA 30060
Cobb County (678) 344-8900
DR. CHIRAG NIRANJAN DAVE M.D.
Urology
1371 CHURCH STREET EXT NE STE 200
MARIETTA, GA 30060
Cobb County (678) 344-8900
ADVANCED UROLOGY INSTITUTE OF GEORGIA
Urology
1371 CHURCH STREET EXT NE STE 200
MARIETTA, GA 30060
Cobb County (678) 344-8900
SHANE ELLISON BELL PA-C
Physician Assistant (Surgical)
1371 CHURCH STREET EXT NE STE 200
MARIETTA, GA 30060
Cobb County (678) 931-8091

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Roberson's NPI number?

The NPI number for Daniel Roberson is 1780044610. It was assigned to this individual provider in the NPPES registry on March 4, 2016.

Where is Daniel Roberson located?

Daniel Roberson practices at 1371 Church Street Ext NE Ste 200, Marietta, GA 30060. The listed phone number is (678) 344-8900.

What is Daniel Roberson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Daniel Roberson enrolled in Medicare?

Yes. Daniel Roberson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Daniel Roberson accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Daniel Roberson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniel Roberson was last updated on May 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.